Randal Nelson in Roseville - Physician Assistant
Randal Nelson - NPI 1558474197
Randal Nelson is a Physician Assistant in Roseville, Minnesota. Randal Nelson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Randal Nelson is 1558474197. The last update date is 2021-07-20.
Randal Nelson's current location address is 2355 Highway 36 W, Roseville, Minnesota. You can contact this provider via phone number 6512922000. The mailing address for Randal Nelson is 2355 Highway 36 W, Roseville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randal Nelson |
|---|---|
| Address | 2355 Highway 36 W, Roseville, Minnesota |
| Phone Number | 6512922000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1558474197 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2021-07-20 |
Provider Mailing Address Detail
| Address | 2355 Highway 36 W |
|---|---|
| City | Roseville |
| State | Minnesota (MN) |
| Post Code | 551133905 |
| Phone Number | 6512922000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9982 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 970002312 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Randal Nelson by the Centers for Medicare & Medicaid Services?
The Randal Nelson has been assigned the NPI (National Provider Identifier) 1558474197 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Randal Nelson?
The Randal Nelson is situated at 2355 Highway 36 W, in the city of Roseville, state of MN, with the zip code 551133905.
What is Randal Nelson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Randal Nelson is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When did Randal Nelson receive its 1558474197 assignment?
The Randal Nelson was assigned its 1558474197 on 2006-08-17, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1558474197 to Randal Nelson?
The Centers for Medicare & Medicaid Services originally issued the 1558474197 to Randal Nelson on 2006-08-17.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY